Keith David Jacobs, PHARMD is a
Pharmacist based in St Marys, Ohio. Keith David Jacobs is licensed to practice in Ohio (license number 03-2-25168) and his current practice location is
1052 E Spring St, St Marys, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 394-3219.
NPI number for Keith David Jacobs is 1154313617 and his current mailing address is 811 Heather Dr, St Marys, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154313617.
Healthcare Provider's Profile
Full Name | Keith David Jacobs |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 1052 E Spring St, St Marys, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154313617
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Keith David Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154313617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 03-2-25168 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith David Jacobs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keith David Jacobs, PHARMD 811 Heather Dr, St Marys, OH 45885-1444 Ph: (419) 394-8172 | Keith David Jacobs, PHARMD 1052 E Spring St, St Marys, OH 45885-2446 Ph: (419) 394-3219 |
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